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Organization
CITY OF CALEDONIA
Active
Organization
CITY OF CALEDONIA
Active
Other names
Caledonia Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE TORNSTROM (AMBULANCE DIRECTOR)
(507) 450-3201
Entity
Organization
Contact information
Practice address
231 E MAIN ST, CALEDONIA, MN 55921-1396
(507) 725-3297
Mailing address
231 E MAIN ST, CALEDONIA, MN 55921-1396
(507) 725-3450
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0041
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39880CA
BLUE CROSS BLUE SHIELD
MN
05
—
80961900
—
WI
Enumeration date
03/20/2007
Last updated
08/22/2020
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